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Ampatch Style FX with 1 1/8" Round End Hole 1 × $162.03
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1-Piece Urostomy Pouch Precut 1-3/4" 1 × $96.63
Subtotal: $258.66
Weight | 0.6 lbs |
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Dimensions | 9.25 × 6.63 × 1.63 in |
package | Box – 5 pcs |
HCPCS Code | A4430 |
Medicare Qty | 5 |
$50.93
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